Prevention & lipids

Changes in frailty and incident cardiovascular disease in three prospective cohorts

Eur Heart JPublished Prospective cohort study

An erratum to this article was published (Eur Heart J, 21 May 2024 ↗)

Authors' conclusion

Different changes in frailty status are associated with different risks of incident CVD. Progression of frailty status increases incident CVD risks, while recovery of frailty status decreases incident CVD risks.

Study context

Population
Adults in three prospective cohorts (China Health and Retirement Longitudinal Study (CHARLS), English Longitudinal Study of Ageing (ELSA), Health and Retirement Study (HRS)); frailty by Rockwood frailty index at baseline and 2 years laterCHARLS 7116, ELSA 5303, HRS 7266
Exposure
Changes in frailty status vs stable frailty status
Outcome
Incident cardiovascular disease (CVD) (self-reported physician-diagnosed heart disease or stroke)
Follow-up
Median 5.0 years (CHARLS), 10.7 years (ELSA), 9.5 years (HRS)
Methodological detailsthree cohorts (CHARLS, ELSA, HRS)
  • Three cohorts (CHARLS, ELSA, HRS)

Main finding

As reported in the abstract

Incident CVD
Hazard ratio (95% CI)
Robust → pre-frail/frailvs Stable robustCHARLS
1.84(1.54–2.21)
Robust → pre-frail/frailvs Stable robustELSA
1.53(1.25–1.86)
Robust → pre-frail/frailvs Stable robustHRS
1.59(1.31–1.92)
Frail → robust/pre-frailvs Stable frailCHARLS
0.62(0.47–0.81)
Frail → robust/pre-frailvs Stable frailELSA
0.49(0.34–0.69)
Frail → robust/pre-frailvs Stable frailHRS
0.70(0.55–0.89)
Pre-frail → robustvs Stable pre-frailCHARLS
0.66(0.52–0.83)
Pre-frail → robustvs Stable pre-frailELSA
0.65(0.49–0.85)
Pre-frail → robustvs Stable pre-frailHRS
0.71(0.56–0.91)

Observational data: associations, not effects.

Original publication

Changes in frailty and incident cardiovascular disease in three prospective cohorts. Eur Heart J. Published 18 January 2024. doi:10.1093/eurheartj/ehad885

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